Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,248.07 / $8,317.64	Facility		$2,951.21	$5,248.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $2,290.87	Professional		$549.54	$630.96	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $3,235.94	Facility		$676.08	$676.08	$3,235.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $2,187.76	Professional		$676.08	$676.08	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,511.89 / $2,691.53	Facility		$676.08	$2,511.89	$2,691.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,862.09 / $3,235.94	Facility		$537.03	$1,862.09	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,348.96 / $2,041.74	Professional		$407.38	$1,348.96	$2,041.74